DR. ARDAVAN R. KHERADPIR (D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1053417261
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
141 ORAL SURGERY in CA
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Provider Addresses for DR. ARDAVAN R. KHERADPIR (D.M.D.)
7025, North Maple Avenue, Fresno, Fresno County, California, 93720, United States
STE 108
FRESNO, CA 937208006
Phone: (559) 226-2722
Fax: (559) 226-6989
Type: Mailing
3812, North 1st Street, Fresno, Fresno County, California, 93726, United States
FRESNO, CA 937264301
Phone: (559) 226-2722
Fax: (559) 226-6989
Type: Location
1903 E FIR AVE STE 101
FRESNO, CA 937203862
Phone: (559) 226-2722
Fax: (559) 226-6989
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $6,686.
Total Amount is formed as General ($6,686) + Research ($0) + Ownership ($0) = $6,686.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Straumann USA LLC ($5,479).
Total Amount
$6,686
General + Research + Ownership
Payments
25
Total payment records
General Amount
$6,686
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Straumann USA LLC | $5,479 |
| ZIMVIE INC. | $640 |
| Geistlich Pharma, North America, Inc. | $530 |
| BioHorizons Implant Systems Inc. | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080310000508 | I | Oral Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 93720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | CA | |
| Oral Surgery | CA | |
| Oral Surgery | CA | |
| Oral Surgery | CA | |
| Oral Surgery | NV |
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